Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Company Name *Phone *Name *FirstLastEmailWhat is your full-time occupation?How many people do you employ?Please list the YEAR, MAKE, MODEL, and the HOURS of your equipment, along with what plow blade or pusher it has, and the associated hourly rate, of the units you would like to put to work for snow removal service. (Please include pictures of this equipment.)Equipment Pictures Drag & Drop Files, Choose Files to Upload Describe your experience and credentials which qualify you as a professional, commercial snow contractor. Include years of experience, types/specific properties serviced, ect.What location best describes your home base of operation? (EX: GR-SW, Walker, Portage, Holland, etc.)Please list any and all times during the winter that you would not be available for snow related work:Do you currently have or are you able to purchase the following insurance?Workers' Compensation - (not applicable to sole proprietors)General Liability - $1,000,000. This is a separate policy and is not part of your auto policy.Vehicle Insurance - $1,000,000. This policy must specify you have snow plowing coverage.NameSubmit
